HomeMy WebLinkAboutMortgage_Garwood .,, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS ounty Township Year
�/ FOR DEDUCTION FROM ASSESSED VALUATION O l
a\iratfr i� State Form 43709(R14/1-20) .. 2 �22
o�,_id Prescribed by Department of Local Government Finance
File Mark
INSTRUCTIONS: To be filed in person or by mail. Form filed with:
Filing Date: Form must be completed and dated in the calendar year for which the deduction is sought. County Auditor
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is County Recorder
located on or before January 5 of the calendar year in which the property taxes are first due and payable.
See reverse side for additional instructions and qualifications.
Applicant( 1 egwry r or contract buyer-s e restrictions on reverse side)
Taxing District y number/legal-description Record number Pag`number
2\ 26-1 -'--o—2`-�0-0�3 .�7- oa 1 2 Z 3183.
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is Is the or pli ant!tab the
e sole
assessment date,current year assessment date,current year date o a lication 9
e
66 Yes D No
If no,what is his/her exact share of interest? If owned with meone' �other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below:
Is t property in question:Annually Assessed
Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of moqqapiee or contract seller \
�s \�' �1 C� 1L F T T
��
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) '
D
Name of assignee or other owner or holder of mortgage DEC 9 2022
Address of assignee(number and street,city,state,and ZIP code) e�.l_ ��( a _'L l
t Taxing District? Ha �Velit� c• etigO�$�L•®QITokyes,state amount of deduction
otDoes cot on property for
in Indiannr con current year'? Yes ❑No
in
A persor t talance on the person's mortgage or c nt ct indebtedness that is recorded in the county
N
recorder Drawer O aoaa- lorded in the county recorder's office)that is the basis for the deduction.
COUNTY AUDITOR
Deductic Card N O. $3
20 20 20 20 20
County Date(nlonp ,yea i,
Signature Count Auditor jv� 11 L `/-'�j
I//^1W``ef'c_errtify under the penalty of perjury that the above and foregoing information is ue and correct and that the applicant is a re ideVnt f Indiana and
o er/contract buyer of the aforementioned n date application is filed.
Date(month,day,year)
Si��e(owner's full name
F II resi.-nt addr ss of applicant(number and street,city,state,and ZIP code)
t0S2. (do tiOO S 0`v;\1e
Date(month,day,year)
Person authorized by duly execu d Power of Attorney or by IC 6-1.1-12-0.7
Address of authorized person (number and street,city,state,and ZIP code)
wto exceed$10,000.